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How to Win Medicare Appeals

Course Overview
Course Content
Course Instructor
Instructor:
Dave Mullens, DPM, JD

CEUs: 1

CEU’s Expire 6/30/23

Duration: 1 Hour
Skill Level: All

Time: On Demand

AHIMA Accreditation

AAPC Accreditation

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Core A CEUs

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Applicable to all certifications except CIRCC and CPMS

Course Overview

The Medicare Appeals process can seem daunting.  Whether it is your first time filing one, or you are an “old pro” at it, this webinar, the first in a series, will give you best practices on winning your appeals.  Come listen to Dr. David Mullens, DPM, JD, author of “How to Win Medicare Appeals” published by the American Bar Association. 

In this webinar, Dr. Mullens will cover the five levels of Medicare Appeals and at which level you have the best chance of overturning the denial.  He will talk in depth on the third level, Disposition by Office of Medicare Hearings and Appeals, where an Administrative Law Judge (ALJ) is involved.  Dr. Mullens will detail how best to present your case at this most important level.

Come get tips from the expert that literally wrote the book on the subject. 

Agenda

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Medicare Appeals – What’s going on?

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The 1st level redetermination appeal

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The 2nd level reconsideration appeal

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The 3rd level administrative law judge appeal

Learning Objectives

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Learning Objective 1

After this presentation, attendees will understand the overall picture of Medicare denials and Medicare appeals.
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Learning Objective 2

After this presentation, attendees will learn what to do and what not to do at each level of appeal.
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Learning Objective 3

After the presentation, attendees will be able to knowledgeably decide whether to incorporate Medicare appeals as part of their professional responsibilities.

Course Instructor

Dave Mullens

DPM, JD

Dr. Mullens is a podiatric surgeon and a healthcare attorney. In the middle of his podiatric career, incensed by how the Medicare system treated healthcare providers, he decided to go to law school and do something about it. For the past 20 years he has focused his legal practice on fighting Medicare repayment demands and denials of claims for a wide variety of Medicare providers. Based on his experience, the American Bar Association asked him to write a book and share his expertise with other attorneys and healthcare providers. His book, “How to Win Medicare Appeals,” was published by the American Bar Association in 2020.

Disclaimer: The information in the following presentation contains the views of the presenters only.   Participants are cautioned that information contained in this presentation is not a substitute for medical or legal advice. The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The participant and/or participant’s organization(s) are solely responsible for compliance and reimbursement decisions, including those that may arise in whole or in part from participants use of or reliance upon information contained in the presentation.  The information presented is accurate as of the date of this recording.

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